What is the difference between NSTEMI and STEMI?

Acute coronary syndromes (ACS) are divided into:

1. STEMI - ST Elevation MI - the classical MI
2. NSTEMI - Non-ST Elevation MI.
3. UA - Unstable Angina

STEMI is when there is a transmural infarction of the myocardium - which just means that the entire thickness of the myocardium has undergone necrosis - resulting in ST elevation. Usually due to a complete block of a coronary artery (occlusive thrombus). This requires the use of thrombolytics like Streptokinase to lyse the thrombus. Evidence has proven that it is very effective and not as risky (Benefits > Risk)

UA or NSTEMI is when there is a partial dynamic block to coronary arteries (non-occlusive thrombus). There will be no ST elevation or Q waves on ECG, as transmural infarction is not seen. The main difference between NSTEMI and unstable angina is that in NSTEMI the severity of ischemia is sufficient to cause cardiac enzyme elevation.

Why is streptokinase not used in treating UA/ NSTEMI?

In patients with UA/NSTEMI, plaque stabilization to prevent progression of the disease is required. While fibrinolytics like Streptokinase benefit patients with STEMI, they may increase risk of bleeding complications for those with NSTEMI. This is also based on evidence - no benefit, more risk.


1. STEMI - occlusive thrombus - ST elevation (and Q waves) - Cardiac Enzyme elevation - Fibrinolytics beneficial
2. NSTEMI - non-occlusive thrombus - NO ST/Q - Cardiac Enzyme elevation present - Fibrinolytics not beneficial
3. UA - non-occlusive thrombus - NO ST/Q - Cardiac Enzyme elevation absent - Fibrinolytics not beneficial


  1. Helpful and succinct. Thanks.

  2. Very good explanation

  3. thank you, very nice

  4. very concise,thanks

  5. thank you! very helpful .. .

  6. Tells exactly whats needed . thanks.

  7. That was really good.. TQ..

  8. Thank you so much , very straight to the point!


  9. Medical assistant programs involve a mixture of online virtual
    classroom instruction coupled with on-site clinical experiences at a
    nearby healthcare facility. These programs teach aspiring medical
    assistants the skills and knowledge needed to work in the field.

    medical assistant
    medical assistant classes
    medical assistant certification
    medical assistant programs
    medical assistant school
    medical assistant courses
    medical assistant courses online
    medical assistant classes online

  10. Such a neat little summary; everything I needed to clarify my knowledge in a nutshell. Thank you so much!

  11. Good, but not sure you really meant to write infartion.

    1. that was spell mistake (corrected) thank you :)

  12. Nice, but does Non-Q MI always indicate partial thickness( subendocardial) MI?

  13. Hi, There's no doubt that your web site could possibly be having web browser compatibility issues. When I look at your blog in Safari, it looks fine however, when opening in Internet Explorer, it has some overlapping issues. I merely wanted to provide you with a quick heads up! Other than that, excellent blog! Sbobet games

  14. Pokerbeken adalah salah satu Agen Poker Online Indonesia untuk permainan judi kartu online yang paling lengkap mulai dari permainan poker online, capsa susun online, ceme online, ceme keliling, super10, omaha dan domino qq.

    Semua dapat anda mainkan hanya dengan menggunakan 1 user ID saja yang anda dapatkan dengan melakukan Daftar Poker di PokerBeken. Dengan deposit termurah dibandingkan dengan agen poker yang lain.

    Hanya dengan 10 ribu Rupiah saja, anda sudah dapat bermain dan bertaruh judi online domino qq uang asli dan poker uang asli terpercaya yang memberikan bonus deposit terbesar.

    pokerbeken sebagai situs judi poker online Terpercaya tentu selalu memiliki komitmen untuk menjadi Daftar IDN Poker Online Teraman yang memberikan bonus besar dan memberikan pelayanan terbaik kepada para membernya.

    Dengan menyediakan customer service yang profesional, sopan dan cepat dalam menanggapi keluhan ataupun memproses semua transaksi yang ada.

    Layanan ini akan tersedia untuk semua member 24 jam setiap harinya. Saat bermain judi kartu online bersama PokerBeken, dapat dipastikan anda akan bermain 100% player vs player karena anda dapat melakukan interaksi langsung dengan pemain yang lain.

  15. From the past few days it has been observed that getting medicines from the internet is gaining popularity at present. The development of online drug stores was an important innovation in the medicine. They are an alternative to offline drugstores and compete with them in prices and convenience. The fame of online chemists' stores have become so high, that more and more owners of land based drugstores take a decision to develop internet sites for their business with an opportunity to buy medicines online.

    Buy Tramadol Online | Order Tramadol Online

  16. KronosPoker.com - Situs Poker Terpercaya Indonesia yang menyediakan permainan Judi Online : Poker Online, Dominoqq, Bandar Ceme Keliling, Capsa Susun dan Super 10. Layanan Customer Service setiap hari 24 jam dengan Livechat, Line, Whatsapp dan BBM, dan menggunakan 4 jenis Bank Local Indonesia.

    KronosPoker.com merupakan Situs Poker Online Paling Bagus dan Capsa Susun Online Uang Asli yang terbaik di Indonesia, bermain di Kronospoker anda tidak butuh modal besar untuk bermain, minimal deposit di kronospoker adalah Rp. 10.000. Segera Bergabung dan menangkan Jackpot hingga Rp. 60.0000.000.

  17. hello my name is My Meds Shop i am online medicine store in USA.. If you want to any medicine for health.. contact me..

  18. Order Tramadol Online Overnight 50 mg 100 mg 150 mg 200 mg 225 mg with Fast Shipping in USA. Buy Tramadol online is simple and easy way. Purchase it Now.

    Buy Tramadol Pills Online USA
    Buy Tramadol Tablets Online USA

  19. My name is Mrs.Aisha Mohamed, am a Citizen Of Qatar.Have you been looking for a loan?Do you need an urgent personal loan or business loan?contact Dr James Eric Finance Home he help me with a loan of $42,000 some days ago after been scammed of $2,800 from a woman claiming to been a loan lender but i thank God today that i got my loan worth $42,000.Feel free to contact the company for a genuine financial service. Email:(financialserviceoffer876@gmail.com) call/whats-App Contact Number +918929509036


  20. Thanks for sharing, Nyc blog
    if u want to take admission in phillipines. we are provide assistance in best medical colleges in philippines for indian students. For More information visit our other blog- MBBS in China
    MBBS in Russia

  21. Thank you for delivering such an informatics article. I am amazed to know some hidden facts added in your post. I have also done an article related to the topic Best MBA Consultants in Noida. Well, you can read it on our website Best MBA Colleges in Delhi. You will have some unknown facts. If you have any issue related to the topic, you can call us at 8512857575.

  22. Thanks for the sharing
    I like it most; the knowledge via mbbs in china duration, the way you right is wonderful and attractive catching words. Please visit our website MCI Approved Medical Colleges in Ukraine and information about this topic. I am Waiting For your Reviews.

  23. mbbs in Philippines
    Every year, almost 8000 foreign students take admission in Philippines Medical universities and out of which around 50% are Indian students. The standard of education in Philippines universities is well known around the world. Thousands of doctors from these medical universities are sent to various countries like USA and UK every year. There are around 2299 higher educational institutions and 40 medical colleges. The main benefits of pursuing MD degree from

    Top Medical Colleges in Philippines :


    Top Searched Topics on MBBS in Philippines

    study mbbs in philippines
    philippines medical colleges list
    best medical colleges in philippines for indian students
    philippines medical colleges
    best medical colleges in philippines
    mci approved medical colleges in philippines

    for more information contact us : +91 90329 55688

  24. Amazing, this information is truly unknown to me yet.
    Thank you for sharing such knowledge via your blog and article. I am glad to inform you that I have also created content on Canada College Admission. You can check that article on my website Best MBBS Colleges in Ukraine. I will assure you, there are some other unknown facts.
    Best MBBS Colleges in China

  25. UV GULLAS COLLEGE OF MEDICINE is one of Top Medical College in Philippines in Cebu city. International students have the oppertunity to study medicine in phillipines at affordable cost and world class University. The college has successful alumni who have achieved well in the fields of law, business, politics, academe, medicine, sports and other endeavors. At University of the Visayas, we prepare students for a global competition.

    Direct MBBS Admissions Open: 2020-21
    Mobile No: +91 90329 55688
    Apply Now: https://www.careerplus.org.in/philippines-medical-college/uv-gullas-college-of-medicine

  26. 29Hoki - Situs Agen SBOBET Bola Online Indonesia Terbaik

  27. Good blog,

    MBBS in Abroad, MBBS in Russia, MBBS in Ukraine, MBBS in Georgia, MBBS in Philippines, MBBS in China, MBBS in Kazakhstan, Study MBBS Abroad, MBBS Overseas, Foreign MBBS Study, Medical education consultants in tamilnadu, Foreign education consultants chennai, overseas education consultant


  28. Definitely, what a fantastic website and revealing posts, I definitely will bookmark your site.Have an awsome day!

    Click here to chceck my blog :: 휴게텔


  29. For any kind of assistance about medical studies anywhere in the world you can visit our website at MBBS in the Abroad for first hand complete guidelines.


Popular Posts